10/01/2024
Who needs a mammogram?
Can I get one if I’m breastfeeding?
Today is Oct 1 and the first day of
Mammogram screening guidelines can be confusing as several different US medical societies have them, and they are all different. (SWIPE LEFT)
ACOG recommends offering screening mammograms at age 40 and continuing every 1-2 years. National Comprehensive Cancer Network recommends starting yearly at age 40, which is what I and many obgyns tend to follow.
In addition, if you have risk factors that put you at higher risk for breast cancer, you may need to start screening at an earlier age.
If you find a lump or abnormality at any age, it should be evaluated and this may include a diagnostic mammogram.
So can you get a mammogram if you’re breastfeeding?
YES YES and YES!
American College of Radiology supports mammogram screening in lactating people in appropriate clinical contexts. If you are due for your screening mammogram (and definitely if you find a lump) breastfeeding should not prevent getting a mammogram. Simply pump or feed to empty completely right beforehand. There is no need to pump and dump at any time.
I was only 3 months postpartum when I had my first mammogram at the recommended age of 40. At first, the institution where I scheduled it, canceled it and told me I needed to be done with breastfeeding for at least 3 months prior to a mammogram. I was shocked and frankly angry that this was their recommendation!
At the time, I was 40 years old with my 3rd baby, and I had breastfed my 2nd child for over 2 years. I told them their recommendation goes against current guidelines and asked them if they were recommending I wait 2.5 years to start my screening mammograms. I was scheduled pretty quickly after that, and the department promised to review their policies.
Don’t be afraid to advocate for yourself!
📸 @8.08photography